Abstract:
Aim: This study sought to explore the cultural factors that are associated with complementary
feeding from the reports of Community Health Workers (CHWs) and Volunteers (CHVs) in two rural
districts in Ghana.
Study Design: This was a cross-sectional qualitative study that assessed cultural beliefs, norms,
superstitions and practices that influence complementary feeding practices of young children under
two years in two rural farming districts in Ghana
Study Area: The study was conducted at Kwahu Afram Plains North and South Districts in the
Eastern Region of Ghana.
Methodology: The study employed qualitative methods which entailed conducting 9 focus group
discussions among CHWs and CHVs working at two rural districts in Ghana. The focus group
discussions were conducted with the aid of a validated, interview guide, after obtaining informed
consent (written) from the health workers. Ethical clearance for the study was obtained from the
Institutional Review Boards of the Dodowa Health Research Centre and the University of Cape
Coast. Thematic content analytical procedures were applied to analyze the transcripts, interpret
and present findings as a narrative account.
Results: The reports of the health workers indicate a common practice of early introduction of solid
foods to infants before they attain six(6) months of age. Cultural beliefs, superstitions, beliefs, foo taboos and prohibitions influence mothers’ complementary-feeding practices and result in limiting
the food scope and dietary diversity of their young children.
Conclusions: Interventions designed to promote appropriate complementary feeding practices
should incorporate an understanding of social context, family, and cultural factors in developing
nutrition promotion messages that are tailored to meet the needs of rural populations. More
community interventions that draw on the support of key influential persons in the community and
fathers are needed to address cultural barriers to appropriate complementary feeding practices
